Malekzadeh Javad, Amouzeshi Zahra, Mazlom Seyed Reza
Department of Medical & Surgical Nursing Mashhad University of Medical Sciences Mashhad Iran.
Faculty of Nursing and Midwifery Birjand University of Medical Sciences Birjand Iran.
Nurs Open. 2018 Apr 23;5(3):370-375. doi: 10.1002/nop2.151. eCollection 2018 Jul.
This study aims to determine the effect of teaching Orem's self-care model on nursing students' clinical performance and patient satisfaction.
The study was a quasi-experimental, non-randomized, two-group design with posttest.
In this quasi-experimental study, 66 nursing students were selected via convenience sampling method. The intervention group was trained based on Orem's self-care model and the control group based on the routine nursing process method. Both groups cared patients for a week. Students' performance was evaluated during the clinical course by performance observation checklist and patient satisfaction was assessed at the end of clinical course using patient satisfaction form. Data were analysed in SPSS software using chi-squared, Fisher Exact test, Mann-Whitney, test and two-way ANOVA.
Clinical performance evaluation mean score in the intervention group was significantly higher than that of the control group. However, patient satisfaction scores in both the control group and intervention group did not show statistically significant differences. Orem's self-care model showed a 23% improvement in students' performance. It is recommended to use Orem's self-care model for undergraduate courses, especially in clinical training.
本研究旨在确定奥瑞姆自我护理模式教学对护生临床操作表现及患者满意度的影响。
本研究为准实验性、非随机、两组后测设计。
在这项准实验研究中，通过便利抽样法选取了66名护生。干预组基于奥瑞姆自我护理模式进行培训，对照组基于常规护理流程方法进行培训。两组均对患者护理一周。在临床课程期间，通过操作观察清单评估学生的表现，并在临床课程结束时使用患者满意度表格评估患者满意度。使用卡方检验、Fisher精确检验、曼-惠特尼检验和双向方差分析在SPSS软件中对数据进行分析。
干预组的临床操作表现评估平均分显著高于对照组。然而，对照组和干预组的患者满意度得分均未显示出统计学上的显著差异。奥瑞姆自我护理模式使学生的操作表现提高了23%。建议在本科课程中，尤其是临床培训中使用奥瑞姆自我护理模式。
